Rutter Paul, Brown David, Howard Justine, Randall Christine
School of Pharmacy, University of Wolverhampton, MA Building, Wulfruna Street, Wolverhampton, WV1 1SB, UK,
Drug Saf. 2014 Jul;37(7):465-9. doi: 10.1007/s40264-014-0191-6.
The pharmacy profession has undergone substantial change over the last two to three decades. Whilst medicine supply still remains a central function, pharmacist's roles and responsibilities have become more clinic and patient focused. In the community (primary care), pharmacists have become important providers of healthcare as Western healthcare policy advocates patient self-care. This has resulted in pharmacists taking on greater responsibility in managing minor illness and the delivery of public health interventions. These roles require pharmacists to more fully use their clinical skills, and often involve diagnosis and therapeutic management. Community pharmacists are now, more than ever before, in a position to identify, record and report medication safety incidents. However, current research suggests that diagnostic ability of community pharmacists is questionable and they infrequently report to local or national schemes. The aim of this paper is to highlight current practice and suggest ways in which community pharmacy can more fully contribute to patient safety.
在过去的二三十年里，药学专业发生了重大变化。虽然药品供应仍然是核心职能，但药剂师的角色和职责已更加以临床和患者为中心。在社区（初级保健）中，随着西方医疗政策倡导患者自我护理，药剂师已成为重要的医疗服务提供者。这使得药剂师在管理小病和提供公共卫生干预措施方面承担了更大的责任。这些角色要求药剂师更充分地运用他们的临床技能，并且常常涉及诊断和治疗管理。社区药剂师现在比以往任何时候都更有能力识别、记录和报告药物安全事件。然而，目前的研究表明，社区药剂师的诊断能力存在疑问，而且他们很少向地方或国家计划报告。本文的目的是突出当前的做法，并提出社区药房能够更充分地为患者安全做出贡献的方法。
